CareCentrix

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Here are our current job openings. Please view the details for more information, and apply from that page if you are interested.

 

NOTE:  All Current CareCentrix Employees must apply via the Internal Career Portal to be considered. 

 

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Job Locations Remote
Posted Date 1 month ago(9/21/2021 8:56 AM)
As a Sr. Regulatory Compliance Analyst, responsible for monitoring regulatory requirements affecting CareCentrix government program operations, analyzing and documenting those requirements, communicating and educating affected business areas about those requirements, developing training programs to ensure an understanding of those requirements, and working with affected business areas to modify operations and policies and procedures to ensure compliance.
Job ID
2021-12334
Job Locations Remote
Posted Date 2 months ago(9/8/2021 12:35 PM)
As a Data Engineer, you will be responsible for designing and maintaining databases to ensure their stability, reliability and performance. This individual will work with the team to optimizing SQL statements as necessary and establish best practices. This candidate should also be able to solve database usage issues, formulate new ideas, and provide advice that can help avoid future problems.
Job ID
2021-12265
Job Locations Remote
Posted Date 3 weeks ago(10/8/2021 5:21 PM)
This position requires someone Bilingual/Spanish speaking.   The Lead Patient Advocate serves as a subject matter expert (SME) in the assigned unit and manages questions from the Patient Advocate staff.
Job ID
2021-12233
Job Locations Remote
Posted Date 2 months ago(8/25/2021 9:53 AM)
As a Senior Data Analyst, you will create and provide business analysis tools that report Corporate Technology Metrics, raise productivity and improve decision making.  You will conduct statistical analysis on data and information to ensure correct predictive forecasting or classification, manage and create all aspects of end-to-end metric data processing utilizing customized report building functions of systems and verify the accuracy of the data. In addition, responsibilities include post analysis work to monitor and ensure the new tools implemented provide the proper visualization of key metrics so these are leveraged for improved decision making. Building a comprehensive understanding of business process of the associated data and applications is essential to succeed in this role.  
Job ID
2021-12147
Job Locations Remote
Posted Date 2 months ago(8/18/2021 9:50 AM)
As our AWS Cloud DevOps Engineer, you will work with a team of DevOps engineers focusing on the day-to-day tasks of managing and maintaining On Premise/AWS environments and will be hands-on involved with designing, deploying, documenting, and supporting On Premise/AWS infrastructure. You will also research and develop build and deployment automation tools and must be comfortable working in an Agile environment.   Candidate must have strong leadership, communication and technical skills as well as the ability to work well in a team environment.  The ability to handle aggressive timelines is a must.
Job ID
2021-12073
Job Locations Remote
Posted Date 4 weeks ago(9/30/2021 2:00 PM)
This position receives/responds to incoming calls from referral sources/patients and communicates with providers for CareCentrix and contacts referral sources to advise them of referral status. Reviews utilization information concerning patient care for CareCentrix and matches those needs to available care options within the reauthorization guidelines provided by CareCentrix and patients’ health care. Assists the Supervisor and Manager with coaching, training, call monitoring, reports and mentoring of new associates. Acts as a clinical resource to department specialists, providing expertise and clinical knowledge. Negotiates with providers when needed and stay within the guidelines. Performs Utilization Management and participates in performance improvement activities (specific measurement for contracts). Works under moderate supervision.   - Manage multiple tasks, be detail oriented, be responsive, and demonstrate independent thought and critical thinking.   - Works collaboratively with Utilization Management Medical Director, Manger, and Supervisor(s).  - Assists Supervisor/Manager with coaching, training, call monitoring, reports and mentoring of new associates.   - Assigns and prioritizes clinical cases for team member review based upon clinical urgency and turnaround times. - Acts as a clinical resource for unlicensed Utilization Review Care Coordinators, providing clinical expertise and helping to clarify referral source directives. Receives/responds to requests from unlicensed staff regarding scripted clinical questions and issues.  - Makes on-going authorization decisions for health plans for which CareCentrix manages the reauthorization responsibilities. Issues service reauthorizations for the home care provider based on medical necessity and payer benefit guidelines.  - Ability to negotiate with providers when needed and stay within the guidelines.   - Performs an evaluation of referral appropriateness for CareCentrix services.   - Researches/identifies all potential payer sources and determines the primary payer.   - Receives/responds to incoming calls from referral sources/ patients, exchanges information in order to identify the patient’s needs and assist in determining the Company's ability to meet them.   - Documents the outcome of calls and referral acceptance in an automated manner.  - Contacts referral sources to advise them of referral status. Relays referral and utilization information to the clinical team who will deliver the services requested.  - Access payer fact sheets to determine if the terms of the contract are covered. Works with the Patient Registration team, contracted providers and patients to identify potential solutions as clinical problems are identified with payer sources.   - Communicates customer service/provider issues to supervisor for logging and resolution.  - Participates in and contributes to ongoing utilization management activities and quality audits. Ensures the collection of data for improvement analysis and prepares reports as requested. - Assists team in implementing and maintaining standardized operational processes to ensure compliance to company policies, legal requirements and regulatory mandates.  - Participates in implementing / maintaining operational processes to ensure compliance to Company.  - Participates in special projects and performs other duties as assigned.
Job ID
2021-11979
Job Locations Remote
Posted Date 2 weeks ago(10/14/2021 9:19 AM)
Come join a dynamic, growing team in an innovative, game-changing, healthcare organization!  CareCentrix is committed to making the home the center of patient care.   As a Business Intelligence Developer you will be responsible for pulling and aggregating data from multiple disparate systems, building and supporting enterprise level BI and Analytic solutions that will enable business users to make informed business decisions and help foster a data driven culture. The individual will work closely with business stakeholders to gather requirements, consulting as the data subject matter expert, design and develop reports and dashboards, create and execute ad-hoc queries against CareCentrix’s data warehouse and operational systems. In this role, you should have a background in data and analytics, be an excellent communicator and be passionate about what you do.  
Job ID
2021-11950
Job Locations Remote
Posted Date 1 month ago(9/13/2021 11:44 AM)
Are you an experienced Registered Nurse with a passion for shaping the future of healthcare?   As a Nurse Liaison you will be an expert in resource management, a master of utilization review and a compassionate partner for patients and their support network. You will be responsible for an assigned caseload at acute and post-acute care facilities. You will conduct in person, on site, face to face outreach, with patients to introduce the Post-Acute program. You will gather patient demographics and collaborate with hospital clinicians, patients and their family to develop a discharge plan of care and will coordinate post-acute care services for the patient and collaborate with Post-Acute homecare agencies on post-acute care plan of care, authorizing services as medically necessary.   The Post-Acute Care program helps to reduce hospital readmissions of patients and has aspects of education and coaching to assist patient’s transition home after a hospital stay. The program works directly with patient treatment plans, facilitates in home health care services to accomplish the treatment plan, patient goals and patient education/coaching along with adherence/compliance monitoring.
Job ID
2021-11930
Job Locations Remote
Posted Date 1 month ago(9/13/2021 11:41 AM)
Are you an experienced Registered Nurse with a passion for shaping the future of healthcare?   As a Nurse Liaison you will be an expert in resource management, a master of utilization review and a compassionate partner for patients and their support network. You will be responsible for an assigned caseload at acute and post-acute care facilities. You will conduct in person, on site, face to face outreach, with patients to introduce the Post-Acute program. You will gather patient demographics and collaborate with hospital clinicians, patients and their family to develop a discharge plan of care and will coordinate post-acute care services for the patient and collaborate with Post-Acute homecare agencies on post-acute care plan of care, authorizing services as medically necessary.   The Post-Acute Care program helps to reduce hospital readmissions of patients and has aspects of education and coaching to assist patient’s transition home after a hospital stay. The program works directly with patient treatment plans, facilitates in home health care services to accomplish the treatment plan, patient goals and patient education/coaching along with adherence/compliance monitoring.
Job ID
2021-11929
Job Locations Remote
Posted Date 3 months ago(7/29/2021 12:50 PM)
Are you an experienced Registered Nurse with a passion for shaping the future of healthcare?   As a Nurse Liaison you will be an expert in resource management, a master of utilization review and a compassionate partner for patients and their support network. You will be responsible for an assigned caseload at acute and post-acute care facilities. You will conduct in person, on site, face to face outreach, with patients to introduce the Post-Acute program. You will gather patient demographics and collaborate with hospital clinicians, patients and their family to develop a discharge plan of care and will coordinate post-acute care services for the patient and collaborate with Post-Acute homecare agencies on post-acute care plan of care, authorizing services as medically necessary.   The Post-Acute Care program helps to reduce hospital readmissions of patients and has aspects of education and coaching to assist patient’s transition home after a hospital stay. The program works directly with patient treatment plans, facilitates in home health care services to accomplish the treatment plan, patient goals and patient education/coaching along with adherence/compliance monitoring.
Job ID
2021-11927
Job Locations Remote
Posted Date 3 months ago(7/28/2021 3:46 PM)
Are you an experienced Registered Nurse with a passion for shaping the future of healthcare?   As a Nurse Liaison you will be an expert in resource management, a master of utilization review and a compassionate partner for patients and their support network. You will be responsible for an assigned caseload at acute and post-acute care facilities. You will conduct in person, on site, face to face outreach, with patients to introduce the Post-Acute program. You will gather patient demographics and collaborate with hospital clinicians, patients and their family to develop a discharge plan of care and will coordinate post-acute care services for the patient and collaborate with Post-Acute homecare agencies on post-acute care plan of care, authorizing services as medically necessary.   The Post-Acute Care program helps to reduce hospital readmissions of patients and has aspects of education and coaching to assist patient’s transition home after a hospital stay. The program works directly with patient treatment plans, facilitates in home health care services to accomplish the treatment plan, patient goals and patient education/coaching along with adherence/compliance monitoring.
Job ID
2021-11920
Job Locations US-CT-Hartford
Posted Date 3 months ago(7/20/2021 6:17 PM)
The Clinical Utilization Management Supervisor oversees the team that handles the denial review process for UM Operations. The department’s activities include; serving as a resource for utilization management program and clinical guideline application assisting with clinical data collection, analysis and reporting, supporting operations and management team with clinical feedback and utilization training, tracking and monitoring turnaround times to assure service requirements are met, coordinating with operations and clinical team members to intervene when service levels are at risk, providing appropriate issue resolution and/or escalation when necessary, assuring timely letter generation and mailing, and coordinating the with Quality Department in preparation for internal and customer audits. The Clinical Utilization Management Supervisor ensures that the denial and physician review process and turnaround times are in compliance with customer, regulatory and accrediting agency standards, and CareCentrix standards and policies. Trains new team members and performs ongoing training of existing team. Monitors performance of team and individual members and takes appropriate action to ensure department goals are met.
Job ID
2021-11858
Job Locations Remote
Posted Date 3 months ago(8/6/2021 4:58 PM)
Are you an experienced Registered Nurse with a passion for shaping the future of healthcare?   As a Nurse Liaison you will be an expert in resource management, a master of utilization review and a compassionate partner for patients and their support network. You will be responsible for an assigned caseload at acute and post-acute care facilities. You will conduct in person, on site, face to face outreach, with patients to introduce the Post-Acute program. You will gather patient demographics and collaborate with hospital clinicians, patients and their family to develop a discharge plan of care and will coordinate post-acute care services for the patient and collaborate with Post-Acute homecare agencies on post-acute care plan of care, authorizing services as medically necessary.   The Post-Acute Care program helps to reduce hospital readmissions of patients and has aspects of education and coaching to assist patient’s transition home after a hospital stay. The program works directly with patient treatment plans, facilitates in home health care services to accomplish the treatment plan, patient goals and patient education/coaching along with adherence/compliance monitoring.
Job ID
2021-11831
Job Locations Remote
Posted Date 3 months ago(7/13/2021 3:27 PM)
Are you an experienced Registered Nurse with a passion for shaping the future of healthcare?   As a Nurse Liaison you will be an expert in resource management, a master of utilization review and a compassionate partner for patients and their support network. You will be responsible for an assigned caseload at acute and post-acute care facilities. You will conduct in person, on site, face to face outreach, with patients to introduce the Post-Acute program. You will gather patient demographics and collaborate with hospital clinicians, patients and their family to develop a discharge plan of care and will coordinate post-acute care services for the patient and collaborate with Post-Acute homecare agencies on post-acute care plan of care, authorizing services as medically necessary.   The Post-Acute Care program helps to reduce hospital readmissions of patients and has aspects of education and coaching to assist patient’s transition home after a hospital stay. The program works directly with patient treatment plans, facilitates in home health care services to accomplish the treatment plan, patient goals and patient education/coaching along with adherence/compliance monitoring.
Job ID
2021-11781
Job Locations Remote
Posted Date 3 months ago(8/10/2021 10:53 AM)
As Director-Software Development, you will lead the architecture, design and delivery of components of Data Hub & related client platforms and ecosystems.  Data Hub is a Cloudera Hadoop based big data system central to all the CareCentrix software.  This effort will include building a new approach to developing software within CareCentrix, using the latest design approaches, technologies, and processes. Collaboration, quality and simplicity is at the core of all that we do and this leadership position is responsible for leading with those values. 
Job ID
2021-11580
Job Locations Remote
Posted Date 5 months ago(5/18/2021 12:37 PM)
As a Senior Database Administrator, you will be responsible for developing and maintaining the Vertica database environments for all internal and external needs.  You will coordinate systems infrastructure activities as well as develop, implement and maintain scalable database standards, procedures and controls.  You will also be responsible for database backup, recovery, setting up DR, performance measuring/tuning, monitoring, capacity planning and automating database operational tasks. 
Job ID
2021-11497
Job Locations Remote
Posted Date 2 months ago(8/19/2021 4:06 PM)
As a Senior Technical Delivery Manager on the Business Technology team, you will drive end to end technical execution for technical project delivery collaborating with business, BPO and technical project stakeholders.  The Senior Delivery Manager acts as a single point of contact for specific project initiatives.  You will facilitate collaboration and communication across IT teams, BPO, business stakeholders, and vendors (if appropriate).
Job ID
2021-10976